Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11823 | Date 20/07/2024 |
| Token No | SM/24-25/17648 20/07/2024 | Serial | 028 |
| Patient Name | Mr. MD MERAJ | Contact No | 8100677678 |
| Address | 27A DR. T P B STREET | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||